Provider Demographics
NPI:1154761070
Name:PLACHTA, MICHAEL GABRIEL (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GABRIEL
Last Name:PLACHTA
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9250 E COSTILLA AVE STE 540
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3648
Mailing Address - Country:US
Mailing Address - Phone:719-528-2950
Mailing Address - Fax:719-538-2961
Practice Address - Street 1:12230 LIONESS WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5603
Practice Address - Country:US
Practice Address - Phone:720-644-9355
Practice Address - Fax:719-392-6937
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2023-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCLL36034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine